52.45.148.122
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>12/26/2018</StartDate>
  <EndDate>01/05/2019</EndDate>
  <DestinationPlan>Aruba</DestinationPlan>
  <NoOfApplicants>3</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Brent </Firstname>
    <Middlename/>
    <Lastname>Cueria </Lastname>
    <Age>57</Age>
    <Dob>06/28/1961</Dob>
    <Gender>Male</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Catherine </Firstname>
    <Middlename>A</Middlename>
    <Lastname>Cueria</Lastname>
    <Age>19</Age>
    <Dob>08/23/1999</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Catoline </Firstname>
    <Middlename>E</Middlename>
    <Lastname>Cueria</Lastname>
    <Age>16</Age>
    <Dob>06/23/2002</Dob>
    <Gender>Female</Gender>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>12/26/2018</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>700 camp st suite 316</Address1>
      <Address2/>
      <Country>United States</Country>
      <State>Louisiana</State>
      <City>New Orleans </City>
      <Postcode>70001</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>cuerialaw@gmail.com</Email>
    <Phone>
      <Home>5045255211</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName/>
    <AdDBeneficiaryRelationship/>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>371292142323009</CreditcardNumber>
      <NameonCreditcard>Brent cueria </NameonCreditcard>
      <CreditcardExpirationMonth>9</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2021</CreditcardExpirationYear>
      <CreditcardAmount>44.66</CreditcardAmount>
      <CreditcardCodeNumber>1349</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
de1e60c3
da5752d2
0eba107f
701826693
701826694
701826695
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>701826693</PolicyNumber><UserName>de1e60c3</UserName><Password>de1e60c3</Password></PolicyDetails><PolicyDetails><PolicyNumber>701826694</PolicyNumber><UserName>da5752d2</UserName><Password>da5752d2</Password></PolicyDetails><PolicyDetails><PolicyNumber>701826695</PolicyNumber><UserName>0eba107f</UserName><Password>0eba107f</Password></PolicyDetails></RegistrationRes>